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Port St. Lucie council denies land-use change for proposed Cleveland Clinic freestanding ER

Port St. Lucie City Council · December 8, 2025
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Summary

After a sustained public hearing and testimony from Cleveland Clinic and residents, the council voted to deny a comprehensive-plan amendment that would have allowed a freestanding emergency department at Becker Road and Becker Road/Becker-area Med Square development.

Port St. Lucie — The City Council on Dec. 8 rejected a request to change a 5.8-acre parcel’s future land use from Limited Commercial to General Commercial that would have permitted a freestanding emergency department as part of a proposed 66,000-square-foot medical and office development.

Planning staff framed the request as a legislative, non–quasi‑judicial amendment needed so a planned unit development could include a freestanding emergency department. Todd Mowery of Red Tail Design Group and a Cleveland Clinic representative described the project as a public‑health and economic benefit, saying it would include primarily urgent‑care services and reduce trip generation compared with other allowable commercial uses.

Residents and local hospital officials opposed the amendment. Neighbors cited traffic, ambulance routing, and neighborhood character; one resident said the land‑use change felt like a late “bait and switch” after a years‑old approval for medical office. Florida Coast Medical Center leaders and emergency clinicians told council they recently expanded capacity at a nearby hospital and warned a new freestanding emergency site could fragment scarce clinical resources.

Councilmembers questioned traffic and emergency‑service impacts and cited the Becker Road overlay’s intent to limit incompatible uses. After debate, the council voted to deny the ordinance amending the future land‑use map. The motion to deny carried on a roll call vote (motion passed). The denial means the applicant cannot proceed with the proposed companion zoning change to a PUD unless it returns with a land‑use proposal the council approves.

What happens next: Staff and the applicant may discuss alternatives under the site’s current Limited Commercial designation, or the applicant can revise and resubmit a future land‑use request. The companion rezoning item was tabled after the land‑use denial.

Why it matters: The decision blocks an FSED on the site but leaves intact the previously approved medical‑office entitlement for the property. Residents and council members emphasized neighborhood impacts and the limits of local control over where health providers locate, while proponents highlighted increased access and potential reductions in certain trip categories.